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Sidharth Mohan, MSD, BDS, BS

NPI 1558830794ActiveIndividual· Dentist, Prosthodontics· Shorewood, IL

Opted out of Medicare from November 2019 to November 2027. Dentist, Prosthodontics (MSD, BDS, BS) in Shorewood, Illinois, licensed in IL, with an NPI issued in November 2018.

Overview

NPI1558830794
StatusActive
Entity typeIndividual
CredentialMSD, BDS, BS
Sole proprietorNo
NPI issuedNov 16, 2018
Last updated in NPPESOct 6, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Dentist, Prosthodontics Primary1223P0700X019.031930IL
Dentist122300000X019.031930IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026
Opt-outOpted out Nov 14, 2019 – Nov 14, 2027
Can order and referYes

During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.

Medicare sources and data years

Industry payments (Open Payments)

None reported for 2025 or 2024.

Receiving payments does not imply wrongdoing. What Open Payments covers ·original records